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FLORIDA EAST COAST MEDICAL GROUP INC NPI 1699954057


NPI Information

NPI: 1699954057
Provider Name: FLORIDA EAST COAST MEDICAL GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D1102367

Address:
1107 N PARROTT AVE
OKEECHOBEE, FL
ZIP 34972
Phone: (863) 763-5122
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FLORIDA EAST COAST MEDICAL GROUP INC is a family medicine in Okeechobee, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FLORIDA EAST COAST MEDICAL GROUP INC NPI is 1699954057. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1107 N PARROTT AVE
OKEECHOBEE, FL
ZIP 34972
Phone: (863) 763-5122
Fax: (863) 763-1965

The provider's authorized official is Dmitry Mishelevich .
The authorized official title is V-p/cfo and has the following contact phone number (863) 763-6496.

The CLIA number assigned to this NPI record is 10D1102367 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2007 and was last updated on 7/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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